Summary
The RN, Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans.
Responsibilities:
- Facilitates patients care plan as called for in the plan of care
- Leads daily patient care huddles with nursing to direct timely progress along the continuum
- Works cooperatively as a leading member of the health care team to insure appropriate use of hospital resources, patient satisfaction, and achievement of quality of care. Manages input from all health care professionals and conducts assessments to determine patients health care and transitional needs. Su
- Evaluates and ensures appropriateness of admissions and continued stay using evidence based criteria
- Collaborates and manages outcomes with the payers through ongoing written and verbal communications to appropriate parties
- Leads discussions with Physician advisors and MD's about safe plan for transitions
- Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate
- Collaborates with community case managers and other health care advisors to ensure a smooth and safe continuum of care plan
- Conducts extensive assessments and implements interventions for patients at risk for readmissions
- Manages concurrent denials and works with physicians to overturn for appropriate reimbursement
Required Work Experience:
- BSN Preferred
- 3-5 years acute care clinical nursing experience
- Hospital Case Management, Care Coordination experience strongly preferred
Skills and Competencies:
- Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payers
- Ability to organize and prioritize workload in order to meet deadlines
- Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third party payers where appropriate
- Excellent computer skills
- Must possess excellent interpersonal skills in order to interact with all levels of health care providers, support staff, and third party payers where appropriate
Job Type: Full-time
Pay: $90,000.00 - $120,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- 403(b)
- Continuing education credits
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Free parking
- Health insurance
- Health savings account
- Life insurance
- Paid sick time
- Paid time off
- Parental leave
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance
- Wellness program
Schedule:
Work setting:
Experience:
- Nursing: 3 years (Required)
- Case management: 1 year (Preferred)
License/Certification:
Ability to Commute:
- Springfield, MA 01199 (Required)
Ability to Relocate:
- Springfield, MA 01199: Relocate before starting work (Required)
Work Location: In person